Shana Drake-Lavelle, MD
Individual provider Active NPI Family Medicine Physician · Albuquerque, NM
NPI 1770146870 · NPPES record last updated Jan 31, 2025
Key facts
- NPI
- 1770146870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD2022-0427 (NM)
- Practice address
- 401 San Mateo Blvd SE
Albuquerque, NM 87108 - Phone
- (505) 462-7333
- Fax
- (505) 462-7301
- NPI assigned
- Apr 16, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of New Mexico School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- First Choice Community Healthcare, Inc.
Presbyterian Healthcare Services
Practice addresses (Care Compare)
1401 William St SE
First Choice Community Healthcare Inc
Albuquerque, NM 87102-4661
Phone (505) 768-5450
2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone (505) 873-7400
401 San Mateo Blvd SE
Albuquerque, NM 87108-2921
Phone (505) 462-7333
Hospital & facility affiliations
- Presbyterian Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230309002273 | NM | Practitioner - Family Practice | 6103154927 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group, Inc. | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| First Choice Community Healthcare, Inc. | Family Medicine | Current |
Accepting new patients |
| Unm Medical Group Inc | Current |
Accepting new patients | |
| First Choice Community Healthcare, Inc. | Family Medicine | Current |
Accepting new patients |
| Presbyterian Healthcare Services | Family Medicine | Current |
Accepting new patients |
| First Choice Community Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| Unm Hospital | Past | Accepting new patients |
Locations
1401 William St SE
Albuquerque, NM 87102
Phone (505) 768-5450
2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462
401 San Mateo Blvd SE
Albuquerque, NM 87108
Phone (505) 462-7333
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
145 Don Pasqual Rd NW
Los Lunas, NM 87031
Phone (505) 224-8740
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Interoperability endpoints
- sdrakelavelle80196@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Family Medicine Physician | 207Q00000X | MD2022-0427 | NM | Yes |
Addresses
Primary practice location
401 San Mateo Blvd SE
Albuquerque, NM 87108
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Other practice location 1
1401 William St SE
Albuquerque, NM 87102-4661
Phone (505) 768-5450
Other practice location 2
Msc Family Medicine 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6607
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shana_lavelle@fcch.com |
Other providers in Albuquerque, NM
- Cathann Dragone-Gutierrez
- Dragonfly Counseling Associates Inc.
- Autumn Drags Wolf
- Shalon Drags Wolf
- Jennifer A Drake-Feinberg
- Cathy L Drake
- Jon Drake
- Maria Drake
- Sara Drake
- Stephanie Drake
All providers in Albuquerque, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.